Recently, our hospital's urology team conducted an accurate diagnosis of a patient with "urinary infection" - renal tuberculosis . After confirming that the kidneys have completely lost function, lesion resection was performed to reduce secondary infections to normal kidneys.
renal tuberculosis, which is prone to missed diagnosis,
53-year-old Ms. Wang (pseudonym) repeatedly urgency and urination pain several months ago. She was diagnosed with urinary infection locally, and her symptoms did not relieve after anti-infection treatment. Then he went to our hospital for treatment. The CT of the outpatient urinary tract showed that bilateral ureteral stones accompanied by hydronephrosis and right kidney stones were admitted to the hospital. After admission, the corresponding routine examination was performed, including CTU and T cell testing, and it was confirmed that left renal tuberculosis was diagnosed.
After undergoing standardized anti-tuberculosis treatment for a period of time, the examination found that the left kidney had lost its function. After comprehensively evaluating the patient's condition, the patient was undergone left nephrectomy.
Renal tuberculosis is easily confused with urinary tract infection?
When it comes to tuberculosis, everyone knows tuberculosis, why do you still have renal tuberculosis ?
In fact, except for the hair and nails that do not infect tuberculosis, any other organ may be infected with tuberculosis. The main combination of the urinary system is renal tuberculosis, which has a slow onset and often has no clinical symptoms in the early stage, so it is easy to miss diagnosis.
We noticed that in the above cases, renal tuberculosis was mistakenly considered to be a urinary tract infection. How to distinguish between the two?
First of all, urinary tract infection and renal tuberculosis are two diseases. Compared with ordinary urinary tract infection, bladder stimulation symptoms of renal tuberculosis and hematuria is more serious and more lasting . Tuberculosis bacillus needs special anti-tuberculosis drug treatment to cure. General antibacterial or anti-inflammatory drugs cannot be eradicated, but may conceal the symptoms.
What are the symptoms of kidney tuberculosis?
Tuberb bacteria reproducts in the kidneys and has no symptoms in the early stage, but tuberculosis bacteria cause urinary tract infection during the process of excretion of urine as the urine is discharged from the body. Inflammation stimulates the bladder triangular area, and symptoms such as urinary urination will appear. Therefore, bladder irritation symptoms such as frequent urination, urgency, and pain in urine are the most important, most important and earliest symptoms of renal tuberculosis . In severe cases, you have to urinate several times per hour, and even urinary incontinence may occur. Local burning and severe pain may occur at the end of urination.
In addition, a few patients can also show hematuria , back pain, and back pain. This may be due to bacteria that damage the kidneys, causing tuberculous renal pus or inflammation around the kidneys. Patients may also have low fever, easily sweating when sleeping at night, lose energy, or lose weight.
Remind everyone:
You must develop good healthy habits in life, adhere to physical exercise in daily life, and have a balanced diet.
For patients with repeated frequent urination, urgency, pain, and turbid urine, or patients whose symptoms of taking the conventional antibiotic do not improve significantly, relevant examinations for renal tuberculosis should be improved. Visit the hospital in a timely manner to avoid delaying the condition. If a person with a previous history of tuberculosis or who has the opportunity to come into contact with tuberculosis patients, pay attention to monitoring urine.
